Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders

BackgroundThe general practice team leader is not only a community health practitioner, but also a manager, commander and coordinator of a general practice team. So choosing an eligible person for the post of general practice team leader is of primary importance.ObjectiveTo develop and verify a comp...

Full description

Bibliographic Details
Main Author: YANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua
Format: Article
Language:zho
Published: Chinese General Practice Publishing House Co., Ltd 2022-03-01
Series:Zhongguo quanke yixue
Subjects:
Online Access:https://www.chinagp.net/fileup/1007-9572/PDF/1646187421661-1831280412.pdf
_version_ 1797217274852016128
author YANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua
author_facet YANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua
author_sort YANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua
collection DOAJ
description BackgroundThe general practice team leader is not only a community health practitioner, but also a manager, commander and coordinator of a general practice team. So choosing an eligible person for the post of general practice team leader is of primary importance.ObjectiveTo develop and verify a competency evaluation system for general practice team leaders, providing a reference for scientifically assessing the competencies of a general practice team leader, and for selecting an eligible person as a general practice team leader.MethodsBy use of literature review and semi-structured reviews, we collected data regarding competencies for an eligible general practice team leader, and used them to initially develop a competency evaluation system for general practice team leaders. Then from July to October 2020, we conducted a three-round Delphi survey with a purposive sample of 20 experts (in the field of general medicine, medical education, public health management, or administrative management) to improve the system, and assess the indicators of the system using the analytic hierarchy process, and test the logic consistency among indicators, then the final system was formed. To assess values of the three-level indicators in the system, from November 1 to 30, 2020, we carried out a survey on wjx.cn (an online questionnaire survey platform) using a self-administered questionnaire developed by us, and selected a stratified random sample of 32 cases (16 directors of community health centers, and 16 general practice team leaders from 8 central urban districts of Shanghai) to anonymously complete the survey via scanning the WeChat RQ code using a mobile phone or computer. The survey data were collected to input into a database, and analyzed for understanding the inter-rater differences in the importance of the top 15 indicators.ResultsThe response rate, authority coefficient, and Kendall's W were 90.0%, 0.912, and 0.183 (χ2=42.516, P<0.001) respectively, for the first round of survey, 95.0%, 0.933, and 0.359 (χ2=68.937, P<0.001) respectively, for the second round of survey, and 100.0%, 0.940, and 0.516 (χ2=87.329, P<0.001) , respectively, for the third round of survey. The final system is composed of 5 first-level indicators, 17 second-level indicators and 43 third-level indicators. The weights for the 5 first-level indicators were 0.344, 0.222, 0.192, 0.137 and 0.105, respectively. The consistency ratios for hierarchical arrangement of indicators were all <0.1. Among the top 15 third-level indicators in terms of importance, except for the importance of "the ability to provide referral services", and "the ability to assist in the handling and management of public health events", the importance of other 13 indicators rated by directors of community health centers and general practice team leaders showed no significant differences (P>0.05) .ConclusionThe system developed by us has high scientificity and practicability with a rational structure and well-targeted indictors, which may be used as a tool for the selection and training of general practice team leader.
first_indexed 2024-04-24T11:59:16Z
format Article
id doaj.art-f58e2878a74445a79a7addd1cca69339
institution Directory Open Access Journal
issn 1007-9572
language zho
last_indexed 2024-04-24T11:59:16Z
publishDate 2022-03-01
publisher Chinese General Practice Publishing House Co., Ltd
record_format Article
series Zhongguo quanke yixue
spelling doaj.art-f58e2878a74445a79a7addd1cca693392024-04-09T02:51:45ZzhoChinese General Practice Publishing House Co., LtdZhongguo quanke yixue1007-95722022-03-01250787488110.12114/j.issn.1007-9572.2021.00.305Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team LeadersYANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua0 1.Department of General Practice,Yangpu Hospital,Tongji University School of Medicine,Shanghai 200090,China 2.Shanghai General Practice and Community Health Development Research Center,Shanghai 200090,China 3.Department of Traditional Chinese Medicine,Changhai Community Health Service Center,Yangpu District,Shanghai 200082,China 4.Preventive & Healthcare Department,Yanji Subdistrict Community Health Center,Yangpu District,Shanghai 200093,China 5.Tongji University School of Medicine,Shanghai 200092,China 6.School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China 7.Jiangning Subdistrict Community Health Center,Jing'an District,Shanghai 200041,China *Corresponding author:YU Dehua,Professor,Chief physician,Doctoral supervisor;E-mail:ydh1404@sina.com BackgroundThe general practice team leader is not only a community health practitioner, but also a manager, commander and coordinator of a general practice team. So choosing an eligible person for the post of general practice team leader is of primary importance.ObjectiveTo develop and verify a competency evaluation system for general practice team leaders, providing a reference for scientifically assessing the competencies of a general practice team leader, and for selecting an eligible person as a general practice team leader.MethodsBy use of literature review and semi-structured reviews, we collected data regarding competencies for an eligible general practice team leader, and used them to initially develop a competency evaluation system for general practice team leaders. Then from July to October 2020, we conducted a three-round Delphi survey with a purposive sample of 20 experts (in the field of general medicine, medical education, public health management, or administrative management) to improve the system, and assess the indicators of the system using the analytic hierarchy process, and test the logic consistency among indicators, then the final system was formed. To assess values of the three-level indicators in the system, from November 1 to 30, 2020, we carried out a survey on wjx.cn (an online questionnaire survey platform) using a self-administered questionnaire developed by us, and selected a stratified random sample of 32 cases (16 directors of community health centers, and 16 general practice team leaders from 8 central urban districts of Shanghai) to anonymously complete the survey via scanning the WeChat RQ code using a mobile phone or computer. The survey data were collected to input into a database, and analyzed for understanding the inter-rater differences in the importance of the top 15 indicators.ResultsThe response rate, authority coefficient, and Kendall's W were 90.0%, 0.912, and 0.183 (χ2=42.516, P<0.001) respectively, for the first round of survey, 95.0%, 0.933, and 0.359 (χ2=68.937, P<0.001) respectively, for the second round of survey, and 100.0%, 0.940, and 0.516 (χ2=87.329, P<0.001) , respectively, for the third round of survey. The final system is composed of 5 first-level indicators, 17 second-level indicators and 43 third-level indicators. The weights for the 5 first-level indicators were 0.344, 0.222, 0.192, 0.137 and 0.105, respectively. The consistency ratios for hierarchical arrangement of indicators were all <0.1. Among the top 15 third-level indicators in terms of importance, except for the importance of "the ability to provide referral services", and "the ability to assist in the handling and management of public health events", the importance of other 13 indicators rated by directors of community health centers and general practice team leaders showed no significant differences (P>0.05) .ConclusionThe system developed by us has high scientificity and practicability with a rational structure and well-targeted indictors, which may be used as a tool for the selection and training of general practice team leader.https://www.chinagp.net/fileup/1007-9572/PDF/1646187421661-1831280412.pdf|general practice team leader|job competence|evaluation|index system|construction and application
spellingShingle YANG Sen, FU Zhili, PAN Ying, ZHAO Huaxin, JIN Hua, SHI Jianwei, CHEN Chen, YU Dehua
Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
Zhongguo quanke yixue
|general practice team leader|job competence|evaluation|index system|construction and application
title Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
title_full Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
title_fullStr Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
title_full_unstemmed Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
title_short Development and Applicability Verification of a Competency Evaluation Index System for General Practice Team Leaders
title_sort development and applicability verification of a competency evaluation index system for general practice team leaders
topic |general practice team leader|job competence|evaluation|index system|construction and application
url https://www.chinagp.net/fileup/1007-9572/PDF/1646187421661-1831280412.pdf
work_keys_str_mv AT yangsenfuzhilipanyingzhaohuaxinjinhuashijianweichenchenyudehua developmentandapplicabilityverificationofacompetencyevaluationindexsystemforgeneralpracticeteamleaders